Polmed continuation form 2026

1. Click ‘Get Form’ to open the polmed continuation form in the editor.
2. Begin by filling in your Membership Number and Date at the top of the form. Ensure that you enter the date in the correct format (DD/MM/YYYY).
3. In the Member Details section, provide your Surname, First Names, Title/Rank, Initials, Identity Number, Marital Status, Gender, and Date of Marriage/Divorce if applicable.
4. Complete your Residential and Postal Address details. Indicate how you wish to receive correspondence by selecting Email, SMS, or Postal Address.
5. Fill out the Membership Type section by selecting from options such as Pensioner or Medically Boarded. Include relevant dates where required.
6. In the Details of Dependant(s) section, list each dependant's Surname, Full First Name, ID Number, Relationship to you, and Gender.
7. Provide your Banking Account Details for direct crediting and debiting. Ensure accuracy to avoid payment issues.
8. Review the POPI Consent section carefully and select YES or NO for each statement regarding sharing personal health information.
9. Finally, complete the Consent & Declaration section by signing and dating it before submitting your application.

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